Form Center

2. Applicants should refer to the Reference Guide for Development (RGD), Future Land Use Map (FLUM), Fire Flow Map, and Wastewater Basins Map when completing this form. Complete all the questions below and click submit to send this form to the Utility Engineering Division of the Department of Water Management (DWM). Then submit payment using the parcel ID to identify your payment. DWM will review the information, determine the required utility extensions. and issue a Summary Utility Development Statement (SUDS). DWM may schedule a meeting to discuss the proposed project. The applicant must fill the below form out completely and accurately; forms without complete and accurate information may be returned to the applicant for correction prior to review. Please contact 919-560-4381 ext. 35268 for assistance completing this form.
4. GENERAL INFORMATION
6. Engineering PM (Name):
8. Email Address of Engineering PM:
10. Project Name:
12. Parcel ID(s) (not PINs):
    List all current Parcel IDs included in the proposed project. The SUDS will be issued for an area that covers these current parcel boundaries.
14. RGD Section 5.0 Project Description:
    -- Select One --Single family residential (1,500 gpm, Required Fire Flow)Office; hotels with sprinklers; institutional; townhomes; multifamily; or apartment buildings. 24 units or less (2,000 gpm, Required Fire Flow)Commercial with sprinklers; hotels without sprinklers; large scale multifamily apartment buildings, greater than 24 units in building (2,500 gpm, Required Fire Flow)Commercial without sprinklers (3,000 gpm, Required Fire Flow)Industrial; research (RTP) with sprinklers (3,000 gpm, Required Fire Flow)Industrial; research (RTP) without sprinklers (3,500 gpm, Required Fire Flow)

    Please Note:The proposed project description must match the proposed use provided to Planning during Zoning, Annexation or Site Plan.
15. Estimated Unit Count (+/- 10%), Estimated SF of Commercial/Retail Space (+/- 10%):
17. Does the project have an approved Utility Extension Agreement?

    1. Yes
    2. No
18. Please upload Utility Extension Agreement:
20. Have you applied for a Utility Extension Agreement?

    1. Yes
    2. No
22. Was a RUS or UIA previously submitted for this project?

    1. Yes
    2. No
23. Are there changes from the original RUS or UIA?

    1. Yes
    2. No
27. WATER INFORMATION
29. Are you installing only private water utilities?

    1. Yes
    2. No
30. Will you be abandoning any meters?

    1. Yes
    2. No

    Please Note: A service request must be received by Water Management from Public Works before Water Management will remove any meters.
32. Description of Public Water Improvements and/or Connections:
33. Predicted Available Fire Flow (Q20) from Fire Flow Map (gpm):
    -- Select One --<1,500 gpm1,500 - 1,999 gpm2,000 - 2,499 gpm1,500 - 2,999 gpm3,000 - 3,499 gpm>3,500 gpm

    Please Note: Water Management will allow applicants to use the provided Fire Flow Map to determine model-predicted available fire flow. Applicants may still wish to request a fireflow test from Public Works. Fire flow tests may be required at the discretion of Public Works but will not be required prior to issuance of a SUDS.
37. SEWER INFORMATION
39. Are you installing only private sewer utilities?

    1. Yes
    2. No
41. Are you proposing any single building with a projected wastewater flow >50,000 gpd per NC 2T Rules?

    1. Yes
    2. No
43. Is a Lift Station proposed for operation and acceptance by the City of Durham?

    1. Yes
    2. No

    Please Note: Water Management will only accept a lift station if: (1) a basin study indicates it will serve 150 units or more and (2) a gravity outfall cannot feasibly be constructed to serve the development. The feasibility of a gravity outfall will be determined at the discretion of Water Management. Please consult the current Lift Station Design Standards prior to proposing a lift station.
44. Is DWM Operation of the Lift Station proposed?

    1. Yes
    2. No
46. Description of Offsite Public Sewer Improvements and/or Connections:
48. Volume of Wastewater Generated by this Project per NC 2T Rules (gpd):
49. Peaking Factor per NC 2T Rules (gpd):
50. Sanitary Sewer Basin from the Wastewater Basins Map:
    -- Select One --Andrews Chapel LSAQUAAudubon Park LSBren Rose CircleBrier Creek Townes LSCamden Ave LSCedar Creek LSCeleste Circle LSContinental Drive LSCooksbury LSCountyDearborn Dr LSDel Webb LSDowning Creek LSDowning Woods LSEagle View LSEast End LSElmset LSEno River LSFalconbridge LSFayetteville Rd LSFletcher's Chapel LSFletcher's Mill LSGarrett Road LSGeer St LSGithens School LSGlenn Rd 1 LSGlenn Rd 2 LSGlenn View LSGuess Rd 1 LSGuess Rd 2 LSHeritage Dr LSHwy 70 LSLandis Dr LSLeigh Farm LSLick Creek LSLockhaven LSLutravil LSMarywood Dr LSMassey Chapel Rd LSMontclair LSNewhall LSNorth Durham WRFNorthgate LSNovember Dr LSOWASAParkwood LSPlantation Dr LSRivermont LSRose of Sharon LSSnowhill LSSolterra LSSouth Durham WRFSoutheast Regional (SRLS)Southpoint Plantation LSSparger Rd LSStage Rd LSStagecoach LSTreyburn 1 LSTreyburn 2 LSTreyburn 3 LSVesson LSFUTURE
52. Existing Downstream Sanitary Sewer Diameter:
53. Facility ID of Receiving Manhole (to be obtained from Public Works GIS):
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field